PEDIATRIC ENT


A wide range of problems unique to younger patients including congenital, developmental, infectious, and trauma-related problems are covered in Pediatric Otolaryngology. The pediatric ENT problems include chronic ear infections, tonsil and adenoid infections, congenital airway problems, and other birth defects of the head and neck.

1.Stroboscopy


The direct examination of the vocal cords and surrounding structures with the use of a stroboscope is called stroboscopy. This helps the doctor to gather information on the vibratory nature of the vocal cords by visualizing the vibration. A synchronized flashing light passed through a flexible or rigid telescope is used to detail the essential information on the nature, degree and quality of vocal fold vibration. Stroboscopy also assess the mucosal wave, the pattern of light traveling on the top surface of the vocal folds during vibration. The depth of cancer invasion, the presence of scar or stiffness in a vocal cord, or the relative tone of the vocal cords can be easily found out with this instrument. In stroboscopy, a microphone, usually applied to the skin of the neck overlying the larynx and it does not go down your throat. A well practiced eye is necessary to spot subtle abnormalities or small lesions. Stroboscopy is the best method to evaluate irregularities such as polyps, nodules, cysts, vocal fold scarring, incomplete closure of vocal folds and abnormal vocal fold vibration. Stroboscopy is often required to identify the underlying causes of voice disorders so that treatment can be directed appropriately.

2.Adenoidectomy


Adenoids are lymphoid tissue located in the back of the nose. The adenoid infections can contribute to impaired breathing or chronic and persistent infections of ear, recurrent sinusitis or deafness. Adenoidectomy is the surgical procedure practiced for the removal of adenoids. An adenoidectomy is often performed with tonsillectomy. Adenoidectomy in children will not increase the risk of subsequent infections. The immune system will be able to defend viruses and bacteria even after adenoidectomy recovery. Curettes, adenoid punch instrument and Magill forceps are the various instruments used for tonsils/adenoids removal. The adenoid curette is the most common method used. A microdebrider can be used to remove adenoids through the nasal cavity with a surgical suction. Bleeding is controlled using either with packing or suction cautery.

3.Tonsils Coblator Treatment


The tonsils obstructions or chronic infections are very common, especially in children. The surgery of tonsils is the commonly practiced method for the treatment for chronic infection or tonsillitis. The majority of Adeno-tonsillectomies are performed to remove enlarged tonsils causing obstruction to the airway.

The Traditional tonsil removal surgery causes excessive bleeding or use high levels of heat which may cause damage to the surrounding healthy tissue. Coblation is an advanced technology which is used for adenoidectomy and tonsillectomy. This technology uses a combination of gentle radio frequency energy with a natural salt solution to quickly and safely remove tissue. The surrounding health tissue remains unaffected in this technology, since there is no involment of burring or heating. The innovative approach of tonsils treatment involves minimal pain, safe, effective and ensures rapid recovery. It is suitable for children of all age groups with hypertrophy of tonsils and ensures minimal post operative complications compared to the traditional methods. This method provides a better field of vision to the pediatric otolaryngologist helping for a more precise and controlled method of removing tissue with less damage to surrounding areas.
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